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Household National Health Insurance Subscription and Learning Outcomes of Poor Children in Ghana

Author

Listed:
  • Raymond Elikplim Kofinti

    (University of Cape Coast)

  • Josephine Baako-Amponsah

    (University of Ghana)

  • Prince Danso

    (University of Cape Coast)

Abstract

This paper investigates the effect of poor households’ subscription to National Health Insurance Scheme on their children's school performance. Resource-poor households are often vulnerable to low investment in education. This is particularly the case where expenditure on health can trade off educational spending and compromise children’s academic performance. This paper argues that poor households’ subscription to National Health Insurance Scheme could reduce their health expenditure and consequentially increase educational spending to improve their children’s school performance. This proposition was investigated using data from the seventh round of the Ghana Living Standards Survey. The Instrumental Variable method was employed to address possible endogeneity problems between health insurance subscription and children’s learning outcomes. Additionally, the propensity score matching technique was used to validate the results. The results show that poor households’ subscription to National Health Insurance Scheme improves their children’s learning outcomes in Ghana. The results, therefore, imply that universal health coverage among the poor could enhance human capital development in developing countries.

Suggested Citation

  • Raymond Elikplim Kofinti & Josephine Baako-Amponsah & Prince Danso, 2023. "Household National Health Insurance Subscription and Learning Outcomes of Poor Children in Ghana," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(1), pages 357-394, February.
  • Handle: RePEc:spr:chinre:v:16:y:2023:i:1:d:10.1007_s12187-022-09980-y
    DOI: 10.1007/s12187-022-09980-y
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    1. Frempong, Raymond Boadi & Orkoh, Emmanuel & Kofinti, Raymond Elikplim, 2021. "Household's use of cooking gas and Children's learning outcomes in rural Ghana," Energy Economics, Elsevier, vol. 103(C).
    2. Lei He & Shuyi Zhou, 2022. "Household Financial Vulnerability to Income and Medical Expenditure Shocks: Measurement and Determinants," IJERPH, MDPI, vol. 19(8), pages 1-17, April.
    3. Fabre, Alice & Pallage, Stéphane, 2015. "Child labor, idiosyncratic shocks, and social policy," Journal of Macroeconomics, Elsevier, vol. 45(C), pages 394-411.
    4. Dillon, Andrew, 2008. "Child labor and schooling responses to production and health shocks in northern Mali:," IFPRI discussion papers 755, International Food Policy Research Institute (IFPRI).
    5. Geng, Xin & Janssens, Wendy & Kramer, Berber & van der List, Marijn, 2018. "Health insurance, a friend in need? Impacts of formal insurance and crowding out of informal insurance," World Development, Elsevier, vol. 111(C), pages 196-210.
    6. Son Hong Nghiem & Luke Brian Connelly, 2017. "Convergence and determinants of health expenditures in OECD countries," Health Economics Review, Springer, vol. 7(1), pages 1-11, December.
    7. Adam Wagstaff & Magnus Lindelow, 2014. "Are Health Shocks Different? Evidence From A Multishock Survey In Laos," Health Economics, John Wiley & Sons, Ltd., vol. 23(6), pages 706-718, June.
    8. Paul J. Gertler & Sebastian Martinez & Patrick Premand & Laura B. Rawlings & Christel M. J. Vermeersch, 2016. "Impact Evaluation in Practice, Second Edition," World Bank Publications - Books, The World Bank Group, number 25030, December.
    9. Chunling Lu & Brian Chin & Jiwon Lee Lewandowski & Paulin Basinga & Lisa R Hirschhorn & Kenneth Hill & Megan Murray & Agnes Binagwaho, 2012. "Towards Universal Health Coverage: An Evaluation of Rwanda Mutuelles in Its First Eight Years," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-16, June.
    10. Islam, Asadul & Maitra, Pushkar, 2012. "Health shocks and consumption smoothing in rural households: Does microcredit have a role to play?," Journal of Development Economics, Elsevier, vol. 97(2), pages 232-243.
    11. Getinet Haile & Beliyou Haile, 2012. "Child labour and child schooling in rural Ethiopia: nature and trade-off," Education Economics, Taylor & Francis Journals, vol. 20(4), pages 365-385, September.
    12. James H. Stock & Motohiro Yogo, 2002. "Testing for Weak Instruments in Linear IV Regression," NBER Technical Working Papers 0284, National Bureau of Economic Research, Inc.
    13. Johnson, Eric & Reynolds, C. Lockwood, 2013. "The effect of household hospitalizations on the educational attainment of youth," Economics of Education Review, Elsevier, vol. 37(C), pages 165-182.
    14. Clifford Afoakwah & Isaac Koomson, 2021. "How does school travel time impact children’s learning outcomes in a developing country?," Review of Economics of the Household, Springer, vol. 19(4), pages 1077-1097, December.
    15. Khandker, Shahidur R. & Barnes, Douglas F. & Samad, Hussain A., 2010. "Energy poverty in rural and urban India : are the energy poor also income poor ?," Policy Research Working Paper Series 5463, The World Bank.
    16. Raymond Elikplim Kofinti & Emmanuel Ekow Asmah & Edward Kwabena Ameyaw, 2022. "Comparative study of the effect of National Health Insurance Scheme on use of delivery and antenatal care services between rural and urban women in Ghana," Health Economics Review, Springer, vol. 12(1), pages 1-19, December.
    17. Clifford Afoakwah & Xin Deng & Ilke Onur, 2020. "Women’s Bargaining Power and Children’s Schooling Outcomes: Evidence From Ghana," Feminist Economics, Taylor & Francis Journals, vol. 26(3), pages 1-29, July.
    18. World Health Organization & World Bank, 2017. "Tracking Universal Health Coverage," World Bank Publications - Books, The World Bank Group, number 29042, December.
    19. Liu, Kai, 2016. "Insuring against health shocks: Health insurance and household choices," Journal of Health Economics, Elsevier, vol. 46(C), pages 16-32.
    20. Esso-Hanam Atake, 2018. "Health shocks in Sub-Saharan Africa: are the poor and uninsured households more vulnerable?," Health Economics Review, Springer, vol. 8(1), pages 1-13, December.
    21. Awaworyi Churchill, Sefa & Smyth, Russell & Farrell, Lisa, 2020. "Fuel poverty and subjective wellbeing," Energy Economics, Elsevier, vol. 86(C).
    22. Lim, Sung Soo, 2020. "Parental chronic illness and child education: Evidence from children in Indonesia," International Journal of Educational Development, Elsevier, vol. 73(C).
    23. Koomson, Isaac & Danquah, Michael, 2021. "Financial inclusion and energy poverty: Empirical evidence from Ghana," Energy Economics, Elsevier, vol. 94(C).
    24. Sefa Awaworyi Churchill & Vijaya Bhaskar Marisetty, 2020. "Financial inclusion and poverty: a tale of forty-five thousand households," Applied Economics, Taylor & Francis Journals, vol. 52(16), pages 1777-1788, April.
    25. Robert Kaba Alhassan & Edward Nketiah-Amponsah & Daniel Kojo Arhinful, 2016. "A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects?," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-16, November.
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